BRADLEY RAY HIEB (NPI# 1225343056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225343056 |
| Entity Type | Individual |
| Full Name | BRADLEY RAY HIEB |
| Practice Address |
42 S 500 E Salt Lake City UT 84102-1002 |
| Mailing Address |
642 Harmony Ct Salt Lake City UT 84102-3446 |
| Practice Telephone | 8014283483 |
| Practice Fax Number | 8013554607 |
| Mailing Telephone | 8014283483 |
| Mailing Fax Number | 8013554607 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
42 S 500 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568782597 | Wendy Mccarter | Counselor | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-06-01 |
| 1386083715 | Odyssey House Corp | Psychiatric Residential Treatment Facility | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2013-06-19 |
| 1013225556 | Kristin Larie Dalke | Counselor | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-09-17 |
| 1285945980 | Lauren G Carlson | Registered Nurse | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-06-28 |
| 1558682856 | Tak Wai Kwong | Registered Nurse | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-06-21 |
| 1124348982 | Caroline Amis | Counselor | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-06-03 |
| 1194045807 | Dani Plothow | Registered Nurse | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063995538 | Latino Behavioral Health Services | Counselor | 3471 S West Temple, Salt Lake City, UT 84115-4338 | 2018-09-11 |
| 1891299012 | Sherrie Lynn Bolton | Counselor | 2001 S State St # S2-300, Salt Lake City, UT 84190-0001 | 2018-03-21 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1083976690 | Karen Lenore Stovall | Counselor | 2200 S State St, Salt Lake City, UT 84115-2724 | 2012-06-10 |
| 1407124662 | Daniel Wallace Powell | Counselor | 655 S State St, Salt Lake City, UT 84111-3819 | 2011-12-02 |
| 1902102858 | Annette Milner | Counselor | 2558 S 900 E Ste B, Salt Lake City, UT 84106-2239 | 2011-02-09 |
| 1235434291 | Cody Feda | Counselor | 344 East 100 South, Salt Lake City, UT 84111 | 2011-01-21 |
| 1841593266 | Edward Henry Snoddy | Counselor | 415 W 400 S, Salt Lake City, UT 84101-1135 | 2010-12-07 |
| 1114227766 | Rebecca Jo Breiman | Counselor | 514 Wilson Ave, Salt Lake City, UT 84105-2912 | 2010-10-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on BRADLEY RAY HIEB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.